Professional Documents
Culture Documents
Application form
Scan to verify:
4 Title (Dr/Mr/Mrs/Miss/Ms) M R
These names must be the same as the names on your passport/National Identity Card and must
appear in the same order.
6 Which IELTS test module are you taking? (tick one box only) Academic General Training
Please note that it is the candidate’s responsibility to select the test module that best meets their needs. The General
Training module is not available on every test date.
7 Address: Please note you will only be sent one copy of your results.
C - 1 3 7 W E S T V I N O D N A G A R E A S T D E L H I
1 1 0 0 9 2
Zip/Postal code
8 Telephone
Mobile nu mber 8 3 7 6 8 6 8 0 8 9
9 Email S A I N I S A N D E E P 3 6 0 @ G M A I L . C O M
Please provide full and accurate contact information, including postal address, phone and mobile number and email which are in constant and valid use. The test
centre or the test partner will need this information to contact you with regard to your test registration.
10 Date of birth 11 M
0 9 0 3 0 1 Gender F (circle as appropriate)
12 Please indicate which document you will be using as proof of identity and give the number below.
Candidates taking the test outside their own country must use a current passport.
You must bring the ID document indicated below to the test. This is the only form of identity that will be accepted on the test day. The
document must be valid/not expired at registration and on the test day.
AC
Passport
language (name)
16
Why are you taking the test? if other, please specify
17 Which country are you applying to/intending to go to? (tick one box only)
19 What level of education have you completed? (tick one box only)
20 How many years have you been studying English? (tick one box only)
21 Do you have a permanent disability, such as a visual, hearing or specific learning difficulty, which requires special
arrangements (for example, modified material, extra time, use of technology, etc.)?
yes no
If yes, please specify your requirements below. You must attach original supporting medical evidence to this form. The medical
evidence must be in the form of a report prepared in a period no more than two years before the test date. You must submit
requests for modified test materials at least six weeks before the test.
2
Notice to Candidates
IELTS terms and conditions Candidates engaging in malpractice will not be allowed to complete the test and will
not receive an IELTS test result. Candidates engaging in malpractice may be banned
from taking the test in future, and may be liable to legal action. Candidates engaging
You must: in malpractice may be reported to regulatory authorities globally.
• provide proof of your identity (passport or National Identity Card) at registration.
Contact the test centre to confirm which type of identity document is accepted.
Candidates taking the test outside their own country must use a passport. Your IELTS result
• inform the centre of any changes to your identity document before the test date. If
you do not do this you will not be allowed to take the test and you will not be • Results are issued by centres, usually 13 days after the test for paper-based IELTS
eligible for a refund or transfer. or 3–5 days for computer-delivered IELTS.
• bring the same identity document on the test day as the one recorded in your • You will receive only one copy of your Test Report Form. Replacement
application. If you do not do this you will not be allowed to take the test and you copies are not issued in the event of loss or damage.
will not be eligible for a refund or transfer. • The Test Report Form will be issued in your name as it appears on the identity
• arrive at the centre before the scheduled test start time. If you arrive late, you will document used at registration. If you find that your personal details are incorrect on
not be allowed to take the test and you will not be eligible for a refund or transfer. the Test Report Form, please contact the centre where you took the test.
• leave all personal belongings in the designated belongings area. The only items you Documentation must be provided to verify the correct details. If you change your
may bring into the test room are your approved identity document, standard pen(s), name on your ID after receiving your Test Report Form, the name will not be
pencil(s) and eraser(s), and a bottle of water (label-free). All electronic devices and changed on the Test Report Form.
all watches must be left in the belongings area and must be switched off. You may • Your result may not be issued 13 days (paper-based) or 3–5 days (computer
be electronically scanned for devices at any time during the test day. Any candidate delivered) after the test if the IELTS Test Partners decide that it is necessary to
who breaches these conditions will not receive an IELTS test result or be eligible review any matter associated with your test or the
for a refund or transfer. While the centre will take all reasonable measures to secure administration of your test. To assist any investigation, you may be required to
your items in the belongings area, they cannot be held responsible for any loss. provide writing and speaking samples. In exceptional circumstances, you may be
• consent for your identity to be verified both at test registration and on test day. required to retake one or more IELTS sections.
This may include: • Your result may be cancelled after it has been issued if any irregularity is
– having your photograph taken. You will be required to temporarily remove any identified. You may be required to retake one or more IELTS sections.
covering from your face. Any candidate who refuses to have a photograph taken • Your result will be disclosed to the Recognising Organisations which you nominated
will not be allowed to sit the test and will not be entitled to a refund. The in your application or to which you applied with your Test Report Form, for the
photograph taken by the centre will appear on your Test Report Form.
purpose of allowing those organisations to verify the result or to carry out any
– providing a sample of your signature. enquiries in relation to suspected malpractice.
– having your finger scan taken.
• If any of the data on the Test Report Form provided by you or your agent to
• keep only the following items on your desk: your identity document, pen(s), Recognising Organisations has been altered in any way, your original test result
pencil(s), eraser(s), and a bottle of water (label-free). may be cancelled.
• tell the invigilator at once if you think you have not been provided with the correct • Candidates are not permitted access to the work they produce in the IELTS
test. For computer-delivered IELTS, tell the invigilator at once if you don’t see the test.
correct test on your computer screen or if the test is incomplete or illegible.
• raise your hand if you need to ask the invigilator something. Candidates may not ask
for, and will not be given, any explanation of the test questions. Cancelling your IELTS test or requesting a transfer
• attend all four sections of the test. If you do not attend all four sections, you will
not receive an IELTS test result. Exceptions are possible but must • For information on cancelling your IELTS test or requesting a transfer, please go to
be requested at registration and written approval must be received from the ielts.org.
centre.
• inform the invigilator on the day of the test if you believe that your performance may How IELTS uses your information
be affected by ill health, by the way in which the test is delivered at the centre or for
any other reason. If you have any issues, concerns or complaints relating to the
delivery of the test you can submit a complaint. All complaints will be dealt with in • The IELTS Test Partners recognise and support the right of IELTS test
line with our Complaints Policy available on ielts.org. candidates to privacy.
• leave all test materials in the test room at the end of the test. The test materials • When you provide your identity information the IELTS Test Partners link that
include question papers, Speaking booklets, answer sheets and rough paper. Any information to your IELTS test and test result on the Test Report Form. This
candidate who attempts to remove test materials from the test room will not receive enables you to submit your Test Report Form to Recognising Organisations and
an IELTS test result. for them to verify your result.
• Test Report Forms will only be sent to those Recognising Organisations nominated
by the candidate in their application or at the request of the candidate after the issue
You must not: of results. When a candidate submits a Test Report Form to a Recognising
• talk to or disturb other candidates once the test has started. Organisation they consent to the verification of the result by that organisation.
• lend anything to, or borrow anything from, another candidate during the test. • The IELTS Test Partners or their authorised representatives may share candidate
• eat or smoke in the test room. personal data, including, without limitation, test performance or score data, or
photographs taken by the test centre, with educational
• leave the test room without the permission of the invigilator. institutions, governments (including visa processing authorities), professional bodies
• leave your seat until all test materials have been collected and you have been and commercial organisations that recognise IELTS scores (‘Recognising
told you can leave. Organisations’) or law enforcement agencies and regulatory authorities where
required for verification purposes or other purposes to protect the IELTS test and its
• engage in any form of malpractice which may damage the integrity and
stakeholders against any form of malpractice. Finger-scan data, where obtained, will
security of the IELTS test. Malpractice includes, but is not limited to:
not be disclosed to any entity except the IELTS Test Partners.
– attempting to cheat in any way, including using notes of any kind from any
source. • The IELTS Test Partners or their authorised representatives may share candidate
– helping another candidate to cheat. personal data, including, without limitation, test performance or score data, or
– impersonating another candidate or having another candidate photographs taken by the test centre, third parties identified by you which act on your
impersonate you. behalf to facilitate your applications to educational institutions, governments
– copying the work of another candidate. (including visa processing authorities), or professional bodies and commercial
– disrupting the test in any way. organisations that recognise IELTS scores.
– reproducing any part of the test in any medium. • The IELTS Test Partners will retain work produced by candidates in the IELTS test
– attempting to alter the data on the Test Report Form. and may use it for quality control purposes and for investigations into suspected
malpractice. Test score data and test responses, in an anonymous form, may also
be used for informational, research, statistical or training purposes.
*Important: Please detach this section (pages i–iv) and retain for your own records. i
Codes to enter for questions 13–16
Refer to the lists below for the codes to enter for your country of nationality, your first language and your
occupation.
If either your first language or your country of nationality is not listed, enter ‘000’. Look for the closest description of
your occupation and proposed area of study. If your work or position is not covered at all, then enter ‘00’.
ii
Question 14 – First language
Serbia 169 Afan Oromo 907 Macedonian 902
Seychelles 170 Afrikaans 001 Malagasy 070
Sierra Leone 171 Akan 002 Malay 071
Singapore 172 Albanian 003 Malayalam 072
Sint Maarten (Dutch Part) 250 Amharic 004 Malinka 073
Slovakia 173 Arabic 005 Maltese 074
Slovenia 174 Armenian 006 Maori 075
Solomon Islands 175 Assamese 007 Marathi 076
Somalia 176 Aymara 008 Marshallese 077
South Africa 177 Azerbaijani 908 Masai 078
South Georgia and the Azeri 009 Mende 079
South Sandwich Islands 251 Baluchi 010 Mongolian 080
South Sudan 252 Bambara 011 Nepali 081
Spain 178 Basque 012 Norwegian 082
Sri Lanka 179 Belarusian 019 Oriya 083
Sudan 185 Bemba 013 Palauan 084
Suriname 186 Bengali 014 Pashto 086
Svalbard and Jan Mayen 232 Berber 906 Polish 087
Swaziland 187 Bihari 015 Ponapean 088
Sweden 188 Bosnian 901 Portuguese 089
Switzerland 189 Breton 016 Punjabi 085
Syrian Arab Republic 190 Bulgarian 017 Pushtu 090
Taiwan 192 Burmese 018 Quechua 091
Tajikistan 233 Catalan 020 Rajasthani 092
Tanzania, United Republic of 193 Chinese 021 Riff 093
Thailand 194 Creole 022 Romanian 094
Timor-Leste 222 Croatian 023 Romansch 095
Togo 195 Czech 024 Russian 096
Tokelau 196 Danish 025 Samoan 097
Tonga 197 Dari 026 Scottish Gaelic 138
Trinidad and Tobago 198 Divehi 909 Serbian 098
Tunisia 199 Dutch 028 Setswana 099
Turkey 200 Dzongkha 027 Shona 100
Turkmenistan 234 Efik 029 Sindhi 101
Turks and Caicos Islands 201 English 030 Singhalese 102
Tuvalu 202 Estonian 031 Slovak 103
Uganda 203 Ewe 032 Slovene 104
Ukraine 204 Faeroese 033 Somali 105
United Arab Emirates 205 Farsi 034 Spanish 106
United Kingdom 206 Fijian 035 Swahili 107
United States of America 209 Filipino 904 Swazi 108
United States Minor Finnish 036 Swedish 109
Outlying Islands 253 Flemish 037 Tagalog 110
Uruguay 207 French 038 Tahitian 111
Uzbekistan 210 Fulani 039 Tamazight 910
Vanuatu 211 Ga 040 Tamil 112
Venezuela 213 Galician 903 Tatar 113
Vietnam 214 Georgian 041 Telugu 114
Virgin Islands, British 236 German 042 Tetum 136
Virgin Islands, U.S. 208 Gilbertese 043 Thai 115
Western Sahara 216 Greek 044 Tibetan 116
Yemen 218 Gujarati 045 Tigrinya 117
Zambia 220 Haitian Creole 046 Tongan 118
Zimbabwe 221 Hausa 047 Trukese 119
Other 000 Hebrew 048 Tulu 120
Hindi 049 Tupi/Guarani 121
Hungarian 050 Turkish 122
Ibo/lgbo 051 Uighur 123
Icelandic 052 Ukrainian 124
Igala 053 Ulithian 125
Indonesian 054 Urdu 126
Irish 137 Uzbek 127
Italian 055 Vietnamese 128
Japanese 056 Welsh 139
Javanese 057 Wolof 129
Kannada 058 Xhosa 130
Kashmiri 059 Yao 131
Kazakh 060 Yapese 132
Khmer 061 Yiddish 133
Korean 062 Yoruba 134
Kurdish 063 Zulu 135
Kyrgyz 905 Other 000
Lao 064
Latvian 065
Lithuanian 066
Luba 067
Luo 068
Luxemburgish 069
Example
If you are a student, enter 08 because the sector is
Education, and 7 because the level is Student.
0 8 7
Sector
Administrative Services 01
Agriculture, Fishing, Forestry, Mining 02
Arts and Entertainment 03
Banking and Finance 04
Catering and Leisure 05
Construction Industries 06 Checklist
Craft and Design 07
Education 08
Health and Social Services 09 I have signed the Application Form.
Installation, Maintenance and Repair Services 10
Law and Legal Services 11
Manufacturing and Assembly Industries 12 I have provided all the information required. I
Personal Services 13
Retail Trade 14
Technical and Scientific 15
Telecommunications and the Media 16 have paid the test fee.
Transport 17
Utilities (gas, water, etc.) 18
(Please note that your application will not be
Wholesale Trade 19 processed without this.)
Other 00
iv * Important: Please detach this section (pages i–iv) and retain for your own records.
Applications to Recognising Organisations
22 Please give details below of academic institutions/government agencies/professional bodies/employers you would like your
result sent to. Add your file/case number if known. Results may be sent either electronically or by post to these organisations.
Please complete all details below for the centre to correctly identify Recognising Organisations. The centre may charge a postal
fee for results sent internationally or by courier. The Test Report Form will not be sent to migration or education agents. Please
note that organisations you have listed below may access your results before you have received or viewed them.
a) Name of person/department
b) Name of person/department
Address
c) Name of person/department
Address
d) Name of person/department
e) Name of person/department
Address
Signature Date 1 4 0 4 2 3